Wise, Elizabeth F

Wise, Elizabeth F is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wise, Elizabeth F can be contacted via phone (509) 962-1414.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Fax: (509) 962-1408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00019488 Washington

Profile Details

NPI number 1407896111
LBN Legal business name Wise, Elizabeth F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407896111 NPPES
Washington MEDICAID 8317901

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